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Strep A Genetic Test, Direct Method

Rhode Island rates for HCPCS 87650

A laboratory test that looks for the genetic material of group A streptococcus, the bacteria that cause strep throat, in a swab taken from the throat. It detects the material directly in the sample without a step that first copies it to increase the amount. A positive result confirms strep as the cause of a sore throat so the right antibiotic can be given.

Rates data updated July 2026.

How much does Strep A Genetic Test, Direct Method cost?

$20.89

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $20.89 for this service. The price depends on where it is billed: about $19.05 from a physician practice, and about $60.26 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$19.05$18.20 to $20.89
FacilityA hospital or hospital-owned outpatient department$60.26$27.54 to $115

How much rates vary

Facilitymedian $60 · 10th to 90th $24 to $129Professionalmedian $19 · 10th to 90th $15 to $28
$10$20$50$100facility $60professional $19

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$81.28
Typical High
$128.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$19.05
Typical High
$23.99
BCBS
Setting
Facility
Modifier
Global
Typical Low
$22.91
Median
$24.55
Typical High
$40.74
BCBS
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$15.14
Typical High
$26.30
Cigna
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$67.61
Typical High
$85.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$15.85
Typical High
$43.65
United
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$23.99
Typical High
$39.81
United
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$19.95
Typical High
$39.81

Where Rhode Island sits

The same service costs 2.2 times more in Alaska than in Washington, DC. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Rhode Island· 29th of 51

$20.89

AK $33.88DC $15.14

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.